Due to scheduled maintenance at the state datacenter, all ADHS online services will be unavailable from 10:30pm Saturday, January 18th, until 6:30am Sunday, January 19th. We apologize for the inconvenience and thank you for your patience.
Office of Newborn Screening
Healthcare Providers – Forms
Providers of care for newborns and infants 0-2 years of age are required to follow certain statutes and rules governing newborn screening.
- Non Hospital Birth Hearing Screening Reporting Form
- Hearing Outpatient Screening Form
- Arizona 0-2 OAE Reporting Form
- Screening – Parent Refusal Form
- Hearing Test Referral Form – Phoenix
- Hearing Test Referral Form – Flagstaff
- Hearing Test Referral Form – Tucson
- Hearing Test Referral Form – Yuma